IQVIA’s Innovative Health Plan Market Intelligence helps payers control rising costs by expanding visibility into medication utilization beyond member claims. Using NPA, LRx, and OneKey, it benchmarks prescribing trends, patient share, and provider behavior across geographies and specialties. Insights include identifying anomalous prescribing, analyzing cash and discount card usage, and assessing impacts on Medicare Star ratings tied to adherence. With near-census longitudinal prescription data, payers gain intelligence on waste, fraud, and cost drivers, enabling better formulary strategy, benefit design, and competitive positioning to improve outcomes and lower expenses.

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